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Hum. Reprod. Advance Access published online on October 6, 2005
Human Reproduction, doi:10.1093/humrep/dei344
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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received April 11, 2005
Revised September 1, 2005
Accepted September 1, 2005

Article

Is there an association between septate uterus and endometriosis?

Frank Nawroth 1*, Gohar Rahimi 2, Claudia Nawroth 2, Dolores Foth 2, Michael Ludwig 1, and Torsten Schmidt 2

1 Endokrinologikum Hamburg, Centre for Hormone and Metabolic Diseases, Reproductive Medicine and Gynaecological Endocrinology
2 Department of Obstetrics and Gynaecology, University of Cologne, Germany

* To whom correspondence should be addressed.
Frank Nawroth, E-mail: Frank.Nawroth{at}Endokrinologikum.com


  Abstract

BACKGROUND: The question of whether Müllerian anomalies are significantly more often combined with endometriosis is a controversially discussed problem. Some publications described this association in patients with obstructive but not non-obstructive Müllerian anomalies or controls without Müllerian anomalies. The aim of this study was to evaluate the incidence of endometriosis in patients with a septate uterus as a non-obstructive form of Müllerian anomalies. METHODS: In a retrospective study, we evaluated 120 patients (29.4 ± 4.7 years; mean ± SD) with a septate uterus. The control group consisted of 486 consecutive infertile patients (30.8 ± 6.3 years) with a normal hysteroscopy and laparoscopy. RESULTS: The incidence of dysmenorrhoea was comparable in both groups, but the incidence of endometriosis was significantly higher in patients with a septate uterus (25.8 versus 15.2%, P = 0.006). CONCLUSION: Our results suggest a higher incidence of endometriosis in patients with a septate uterus. If it can be confirmed by others, the initial finding of a septate uterus in infertile patients should be followed by a combined hysteroscopy and laparoscopy.

Keywords: endometriosis/infertility/Müllerian anomaly/septate uterus/uterine malformation.
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